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Contact Information

HENRY T SMITH, MD
230 EAST BROADWAY
JACKSON, WY83001
 Phone: 307-733-1122
 Fax: 307-734-9577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HENRY T SMITH · (Male)

NPI Number 1104822972
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 5592A
  • WY Other 303832 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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